It is especially suited to hysterical women, who suffer from uterine
troubles, cardiac troubles and various nervous manifestations; suitable to a woman who is
extremely irritable, full of fanciful notions, insanity, religious melancholy and
imaginations, with cardiac affections and prolapsus.

These conditions often alternate; when the mental symptoms are most
marked the physical symptoms are relieved. The "

dragging down" that
is associated with prolapsus seems to be a dragging down from the region of the stomach, and
even sometimes from the throat.

A bearing down, as if all the interior organs were dragging down. With
this state of extreme relaxation there is great fidgetiness and most marked of all,
palpitation. She can lie only on the back, and is aggravated from lying on either side. From
every emotion the heart flutters, and is irregular and excitable. These mental symptoms and
heart symptoms and uterine symptoms often rotate or alternate, and constitute the principal
features.

Mind

: She can hardly
speak a decent word to anybody. She will snap even when spoken to kindly. She is so
irritable that her friends cannot pacify her. Even consolation aggravates. When spoken to
she is irritable. She lies awake nights, and is tormented either by fanatical religious ideas, or a religious
melancholy, and seems inclined to dwell uponinsane, ideas
concerning religion and modes of life unreasonable, illogical and fanciful.

Has wrong ideas concerning everything. Receives wrong impressions and
everything is inverted. It is impossible to please her. Now these states are present with a
state of irritability of the sexual organs, nymphomania; violent sexual excitement
associated with spasms, with palpitation, with sweats, with periods of exhaustion. She sits
alone and broods over imaginary troubles, and when spoken to is crabbed.

"Ideas not clear; they become more so if she exercises her
will."

"Makes mistakes in writing, in speaking, cannot apply the mind
steadily; tormented about her salvation."

The patient tries to describe an indescribable feeling by saying she has
a "

crazy feeling" in the head, as if the ideas scattered, and the
more she attempts to think rationally the more irrational she becomes. The more she attempts
to think of something the less likely she is to recall it. When putting the mind upon
something else it comes back again. This remedy has all kinds of symptoms from sexual
excesses in overwrought and nervous women, from sexual excitement, causing confusion of mind
with palpitation.

It says in the text:

"Listless, inert, yet does not want to sit still."

This patient will sit still and brood and think over the past, and when
spoken to will jump up and run hastily and excitedly and slam the door without any cause;
when spoken to kindly by members of the family, or a friend, it seems that she will go wild.
A patient once under an aggravation from this remedy said to me:

"I was spoken to to-day in a street car, and I was so mad I wanted
to fling something at his head."

She was thinking over something about herself, and did not want to be
disturbed. It is a violent state of temper, a violent state of irritability, a loss of
balance. She says:

"It seems as if I must fly when spoken to or disturbed."

When coming in contact with her friends she has these feelings. The
contact seems to arouse her out of a state of lassitude and quietness. Strange things occur
in this remedy. The sensations described in the text are so vague and so varied that you can
see that it is an effort on the part of the provers to describe what they feel. The
sensations are numerous and indescribable.

This patient very commonly is a warm-blooded patient.

She is like the

Pulsatilla patient; warm-blooded, wants a cool room, likes to
walk in the open air, except at times when the prolapsus is aggravated by walking. The head
is generally relieved by moving about in the open air, > when walking in the open air.
The headache and most of the complaints are relieved from cold, or from a cool room, and
aggravated from a warm room. The dyspnoea comes on in a warm room. The patient suffocates in
a crowded room, in the theatre, in church, like Apis, Iodine, Kali i., Lyc. and Puls.

Head

: A crazy feeling
comes up from the back of the head to the top of the head.

What that is only one that feels it can describe. It is described
sometimes as a tingling, or an electric sensation. A slight tingling comes up the back of
the head and goes to the top, and is associated with vertigo. When you come to sift that
thought it really brings nothing to mind. Very often you have to get those things
clinically, and think about them to get at the idea.

The pains in the forehead are very marked, and they are associated with
great disturbance of vision, a loss of vision, the room looks dark, or the eyes are unable
to focus. Nervous disturbance of vision, photophobia, twitching of the lids, jerking about
the eyeballs, and inflammation of the mucous membrane of the eyes, of the lids and balls,
conjunctivitis. Very often with the complaints of the head the eyes are turned in, a
convergent strabismus, or there is threatened syncope, with the pain in the forehead.

By all these things mentioned it may be known what an over-sensitive,
extremely nervous, hysterical person the

Lilium
tig. patient must be. These things are
commonly associated with patients who are extremely nervous, who have fluttering of the
heart, who have pain down the spine, and more or less prolapsus, with a great sense of
dragging down. When one condition is present, the other is commonly absent; they alternate,
or they may exist all together.

"Wild feeling in the head, as tho' she would go crazy, with pain in
the right iliac region."

These provers seemed to like the expression,

"crazy feeling in the head, as if she would go crazy".

That crazy feeling is a confusion of mind, as if the mind were quite
unable to concentrate itself. That is what is interpreted by this crazy feeling the patients
have. It is sometimes like a vertigo, as if things were going round, or as if she would lose
her mind. Then it comes again as a terrible, tearing headache, described as a crazy headache
in the forehead. Headache in which there is confusion of the mind, or as if the mind would
go crazy.

Abdomen

: The abdomen,
stool, urinary and sexual organs, furnish us a field for the use of this medicine.

The whole abdominal viscera seem to be dragging down from the stomach.
The patient wants to hold up the abdomen, pendulous abdomen. It seems as if the pelvic
organs would protrude. The patient must lie down, wants to wear a

T bandage. Wants
to grasp the abdomen from the sides and lift up for support. It is a sensation of weakness
or bearing down in the pelvis as if everything were coming into the world through the
vagina.

This remedy has a very urgent diarrhoea, driving out of bed in the
morning; he must make great baste. You may get this confused with

Sulphur, because Lilium tig. has great heat in the head, emptiness in the stomach, and great burning of
the palms and soles. It has also a dysentery that you will hardly be able to distinguish
from Merc. cor., so marked is the tenesmus, mucus and blood.

The stool is merely mucus mingled with blood, and the tenesmus is as
great and the burning in the anus as marked as in

Merc. cor. It is especially suited for those attacks of dysentery
that come on as an occasional chronic manifestation in nervous patients such as I have
described. Now, do not think that because this patient is nervous that she is weak, or
liliputian, or lean; for it is especially suitable for those with full veins; apparently
plethoric, full blooded, fleshy, rotund women who are very nervous, and especially at the
change of life.

Recurrent dysenteric attacks with every cold in those who suffer from
pelvic and abdominal relaxation, mental irritability as described, palpitation and
fluttering of the heart, with nervous constitutions. You do not see

Merc. cor. in such a picture.
If it were a dysentery alone I would not be able to tell which it was.

All of these dysenteric manifestations have been left out of the

Guiding Symptoms, yet I have seen them verified over and over. Again, it has a most
inveterate and troublesome constipation.

It has also a tenesmus of the bladder and rectum. Teasing to urinate, as
well as urging to stool. Sit a long time with much urging, and after long straining no
stool.

Frequent urging, with a sensation as if a ball were in the rectum. When
the fundus of the uterus is turned back to the rectum it gives a sensation as if the rectum
were full of faeces; it brings on urging to stool and the patient will sit and strain, and
the tenesmus of the bladder and rectum is unbearable. Constant urging to stool, and no stool
in the rectum. You will be astonished to know that the remedy that is indicated with such
symptoms will relieve the patient of all distress in a short time.

But you ask, will this remedy put the uterus right again? Well, the
patient will get relief of her sufferings and will not feel this uncomfortable state after
the administration of the remedy. The bowels become regular, the disturbance of micturition
is relieved and the patient gradually returns to health and later the uterus will be found
in place.

"Pressure in the rectum, with almost constant desire to go to
stool."

Lilium tigrinum

has
cured the most inveterate protruding hemorrhoids with burning.

"Haemorrhoids after delivery, sore to touch, bearing down after
stool as if all would protrude from the vagina."

It does not mean that we shall apply that simply to hemorrhoids that come
after delivery, but it has cured hemorrhoids in such a constitution, and not only
hemorrhoids, but relaxed uterus and vagina.

A paralytic relaxation is present in all the abdominal tissues. I have
mentioned the uterine symptoms incidentally in connection with other parts.

"Menses scanty, flow only when moving about."

This will make you think of

Puls., the menses being
so scanty, and because the Puls. patient is of similar nervous temperament. Puls.
has scanty menstruation and relief in the open air. It has also much dragging down in the
pelvis, though not so extreme as a rule as in this medicine. But there is much in this
medicine quite different from Puls.

The come the heart symptoms.

"Seems as if the heart were grasped or squeezed in a vise, hard, as
if violently grasped."

"Constrictive pain in the heart." "In fresh air, chilly,
but vertigo is >."

Pain in the back and down the spine; irritable and sensitive spine with
trembling. It competes very closely with